Organization
ARCH CITY DENTAL, LLC
Active
Other names
Northeast Family Dental, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE C. BALOY DDS (OWNER)
(614) 891-7075
Entity
Organization
Contact information
Practice address
6343 PRESIDENTIAL GATEWAY, SUITE 100, COLUMBUS, OH 43231
(614) 891-7075
(614) 891-6033
Mailing address
6343 PRESIDENTIAL GATEWAY, SUITE 100, COLUMBUS, OH 43231
(614) 891-7075
(614) 891-6033
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15684
OH
1223G0001X
General Practice Dentistry
20715
OH
Other
Enumeration date
01/25/2013
Last updated
01/04/2016
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